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Home My WebLink About133608 ANLANCE PROTECTION LTD - INSURANCE CERTIFICATE (11)COLORADO-BW INSURANCE Fax 19702672231 Jan 4 2010 01:40pm P001/002 ACORD. CERTIFICATE OF LIABILITY INSURANCE I DATE (MWDD/YYY ) 01/04/2010 PRODUCER 970, 223.0924 FAX 970, 267.2231 Colorado BW Insurance Agency, Inc. 1075 W Horsetooth Rd, Ste 106 Fort Collins, CO 80526 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Anlance Protection Ltd PO BOX 2401 Ft Collins, CO 80522 INSURER A: Everest Indermlity Ins Co INSURERS: Plnnacol Assurance 41190 INSURER C: INSURER 0; INSURER E: rn'kree Ad --CC THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE. MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR NSR TYPE OF INSURANCE POLICY NUTABER P UCY EFFECTIVE DATE MMIDD/YYYY P u DATE fMWDII LIMITS DENERAL_uABIUTY SIGL000975-091 07/13/2009 07/13/2010 EACHOCCURRENCE ,$ 1,000,000 COMMERCIAL GENERAL LIABILITY PREMISES (Ea acau noe) 50,000 CLAIMS MADE a OCCUR MED EXP (Any one person) $ 5 , 000 A PERSONAL & ADV INJURY ; S 11000,000 . GENERAL AGGREGATE $ 2,000,000 �.. • PRODUCTS - COMPIOP AGG S 1, 000, 00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOG JECT I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO • (Ea aotidenp BODILY INJURY S ALL OWNED AUTOS SCHEOULEDAUTOS (Per pc ) BODILY INJURY HIREV AUTOS NON-OWNEDaccident) AUTOS (Per PROPERTY DAMAGE $ (Per pcodent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG exDESS / UMBRELLA LIABILITY ! EACH OCCURRENCE $ OCCUR CLAIMS MADE .AGGREGATE 3 S I $ DEDUCTIBLE S RETENTION $ WORKERS COMPENSATION 406414S 01/01/2010 0110112011 X TORYLIMBS ER AND EMPLOYERS' LIABILITY Y I N E.L. EACH ACCIDENT $ 1,000,000 R ANY PROPRIETOR/PARTNERIEXECUTIVE� E.L DISEASE - EA EMPLOYEE $ 11000,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L DISEASE - POLICY LIMIT $ 1,000,000 IT Vas, dese lbe under SPECIAL PROVISIONS below ' OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS he certificate holder is named as an Additional Insured with respect to the ongoing operations f the Named Insured on the General Liability only. 1rLR I Ir14H I C nwLucn I GUM City of Fort Collins Finance & Purchasing Department Attn: Christine Jarvis 215 N. Mason St., Second Floor PO Box 580 Fort Collins, CO 80522-0580 ACORD 25 (20091011 PAY - 771 97m MOULD ANY OF THE ABOVE DESCRIBED FOLIGES BE CANCELLED BEFORE THE EXPIRATION PAYS THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AOEWS OR AUTHORIZED REPRESENTATIVE Leslie Shade/FTCLS 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COLORADO-BW INSURANCE Fax 19702672231 Jan 4 2010 01:40pm P002/002 If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 26 (2000101)